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        <BusinessNameLine1Txt>Philadelphia Lodge No 5 Fraternal Order of Police Health Benefits Joint Pro</BusinessNameLine1Txt>
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          <CityNm>Philadelphia</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>19130</ZIPCd>
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        <PhoneNum>2157638290</PhoneNum>
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      <ForeignFinancialAccountInd>false</ForeignFinancialAccountInd>
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        <FormAndLineReferenceDesc>Pt VI, Line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>The Form 990 is reviewed by the responsible officer before signing.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Pt VI, Line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>The documents are made available for inspection at the Trust office.</ExplanationTxt>
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      <SupplementalInformationDetail>
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